19th Avenue Operations, LLC
Skilled Nursing Facility in Phoenix, AZ. Organization (NPI-2).
NPI number1649627423
StatusActive
Last updated in NPPESJan 4, 2017
Details
- NPI
- 1649627423
- Entity type
- Organization (NPI-2)
- Legal business name
- 19th Avenue Operations, LLC
- Organization subpart
- No
- Enumeration date
- May 20, 2016
- Last updated
- Jan 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | NCI-2694 | AZ | Yes |
| 310400000X | Assisted Living Facility | AL10014C | AZ | |
| 310400000X | Assisted Living Facility | AL10013C | AZ |
Other names
- The Palazzo (Doing Business As)
Practice location
6246 N 19th AvePhoenix, AZ 85015-1511
Phone 602-433-6300 · Fax 602-433-6458
Mailing address
1000 Corporate PointeSuite 100
Culver City, CA 90230-7690
Phone 310-337-1929 · Fax 310-861-1661
Authorized official
Tracy L. Clark
Authorized Representative
3103371929
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Skilled Nursing Facility providers in Phoenix, AZ
- 15810 South 42nd Street Operations LLCNPI 1184105850
- 24th Street Healthcare Associates LLCNPI 1760477541
- 91st Avenue Operations LLCNPI 1659038719
- Allegiant Healthcare Of Phoenix LLCNPI 1619491123
- Aphz, LLCNPI 1871330530
- Arizona Eastern Star Retirement CenterNPI 1205824653
- Azore II, LLCNPI 1124064605
- Aztec Healthcare, INC.NPI 1346620226
- Banner HealthNPI 1013130145
- Daniela V BulubenchiNPI 1558945782
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.